结直肠癌癌性肠梗阻51例外科治疗体会

The Experience of Surgical Treatment in the Carcinoma Intestinal Obstruction of Colorectal Cancer with 51 Cases

目的:探讨结直肠癌癌性肠梗阻的治疗方法。方法:分析我院2001年3月至2009年9月间治疗结直肠癌性肠梗阻51例的临床治疗方法。结果:Ⅰ期结直肠癌根治术27例,Ⅱ期手术19例,姑息性造口5例,出现并发症19例(37.2%),死亡4例(7.8%)。结论:对结直肠癌性肠梗阻,应手术治疗,并根据病人的情况,尽可能的争取一期手术治疗。但对年龄大、身体状况差的患者,无法一期手术,仍以分期手术为宜。

Objective： To approach the treatment of the colorectal cancer intestinal obstruction. Method： Analyzing the clinical treatment of the colorectal cancer with intestinal obstruction from Mar. 2009 to Sep. 2009. Result：We had 27 cases I phase colorectal cancer radical corrections , 19 cases II phase colorectal cancer radical corrections ,5 cases palliation stomas ,there were 19 complications（ 37. 2% ） ,and 4 cases died 17.8% ） . Conclusion：We should give the surgical treatment to the colorectal cancer intestinal obstruction ,and according to the situation of the patient , we should give the I phase surgical treatment as much as possible , but to the patients who have elder age and bad physical status, can not have the I phase surgical treatment , should have staging operation .